Whalio Doctors

NPI 1083875058

Tom Prakash Theruvath, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Charlotte, NC

Practice location

Address
301 Hawthorne Lane Suite 200, Charlotte, NC 28204-2467
Phone
(704) 316-5100
Fax
(704) 316-5101
Mailing address
PO Box 60447, Charlotte, NC 28260-0447

Registered specialties (3)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 2015-01140 (NC)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence LL 30838 (SC)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2015-01140 (NC)

Registry record

NPI
1083875058
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2008
Record last updated
25 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.